# JACKSON LIVER AND GI SPECIALISTS INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245754506
- **Authorized official:** DR. BRIAN BORG MD MHSC (PRESIDENT AND CEO)
- **Authorized official phone:** (769) 251-5674

## Contact information

- **Practice address:** 971 LAKELAND DR STE 1159, JACKSON, MS 39216-4609
- **Practice address phone:** (769) 251-5674
- **Mailing address:** 971 LAKELAND DR STE 1159, JACKSON, MS 39216-4609
- **Mailing address phone:** (769) 251-5674

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/28/2017
- **Last updated:** 04/26/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02752313 | — | MS |